Multiple Choice Ch. 11

Question 1

______ is responsible for ensuring that no item is left in a patient.

Answer 1

All team members

Question 2

Load the needle holder ____ removing the entire needle suture combination from the package.

Answer 2

before

Question 3

The ________ is responsible for maintaining an organized and safe surgical field.

Answer 3

Surgical Tech

Question 4

The process of suturing two tissue edges together is called _____.

Answer 4

Approximation

Question 5

_________ will contribute to the healing process of the surgical incision.

Answer 5

All of the above

Question 6

Excess inflammation and serous discharge from the wound is a sign of surgical _______.

Answer 6

Site infection

Question 7

In areas where great strength is required, such as abdominal incisions, ______ sutures are used in conjunction with routine abdominal suture layers to add support to the closure.

Answer 7

Retention

Question 8

Any tissue or item removed from the patient’s body during surgery is ______ and is maintained in a specific way on the surgical field to prevent loss or damage.

Answer 8

A specimen

Question 9

A ____________ is a database containing each surgeon’s particular routines for specific instruments for a particular surgery.

Answer 9

Surgeon’s preference card

Question 10

Removal of a sample of tissue for pathological analysis is called a _________.

Answer 10

biopsy

Question 11

When cutting sutures, use only ______ scissors. To cut the suture, open the scissors slightly. Use only tips of the scissors to cut; never the midportion of the blades. Cut only when you can see what you are cutting.

Answer 11

sharp suture

Question 12

Surgical gut sutures are packaged in a _________ solution.

Answer 12

Alcohol

Question 13

A ________ suture is a suture-needle combination designed to discharge the suture easily.

Answer 13

control-release

Question 14

The ________ containing towels, drapes, and gowns is centered on the back table and opened using aseptic technique.

Answer 14

basic pack

Question 15

Which of the following is used to exsanguinate the limb before the pneumatic tourniquet is applied?

Answer 15

Esmarch

Question 16

The _________ needle has a round body that narrows to a sharp point. It punctures tissue, making an opening for the body of the needle to follow. Its primary use is for suturing soft tissue.

Answer 16

tapered

Question 17

Inadequate lighting increases _______. The surgical technologist adjusts lights as needed.

Answer 17

the risk of error

Question 18

A _________ suture is a continuous suture used to approximate the open ends of a lumen. It is traditionally used during

Answer 18

Running

Question 19

Two types of ________ are commonly taken during surgery. These are aerobic and anaerobic.

Answer 19

bacterial cultures

Question 20

Gathering needed diagnostic studies, such as radiographs, magnetic resonance images, or other data the surgeon needs during the case is part of
_______.

Answer 20

Universal protocol

Question 21

__________ dressings are used to prevent or limit movement of the surgical wound during healing.

Answer 21

Supportive

Question 22

A method used for gathering supplies for a case is referred to as an _______ system.

Answer 22

case cart

Question 23

___________ is tubing through which retention sutures are threaded to prevent them from cutting into the patient’s skin.

Answer 23

Bolsters

Question 24

You may have up to 10 trays on a complex case. This is why it is important to think about what you need, locate it among all the supplies, and then put it in a specific place. If instrument trays must be stacked, place the ________ ones on the bottom.

Answer 24

least-used

Question 25

Before organizing and preparing supplies during setup, _________ the sterile area.

Answer 25

Increase the size of

Question 26

A free-tie suture attached to the end of a clamp is called a _______

Answer 26

tie on a passer

Question 27

Avoid shifting items around from one place to another during setup. Try to handle an item only once. Shifting items from one location to another without purpose increases the chance of _________ and is not productive.

Answer 27

contamination

Question 28

A ________ suture with long suture length is anchored at one end of the tissues, and the needle alternated from one side of the tissue edge to the other the entire length of the wound.

Answer 28

Simple or interrupted

Question 29

Most commercial needles are now manufactured with the suture preattached. This is called a _______ suture.

Answer 29

Swage

Question 30

The knot is the ________ part of the suture.

Answer 30

weakest

Question 31

the process preceded by patient verification process detailed by The Joint Commission is called ___.

Answer 31

TIMEOUT

Question 32

A monofilament suture is extruded from the package and _______.

Answer 32

stretched slightly

Question 33

The ability of suture material to absorb fluid is called _____.

Answer 33

Capillary action

Question 34

The _______ phase of wound healing is the proliferative stage. During this phase, fibroblasts synthesize collagen and other cell matrices.

Answer 34

second

Question 35

When handling _________ , exercise caution to prevent puncturing your or a team member's glove.

Answer 35

stainless steel sutures

Question 36

A suture-needle combination containing a needle at each end of the suture is called a _____ suture.

Answer 36

double-armed

Question 37

How to position the needle holder in relation to the suture needle depends on whether the ______ is right-handed or left-handed.

Answer 37

surgeon

Question 38

All sharps should be passed with ________. If hospital policy or an individual surgeon has not implemented this technique, the scrub must pass sharps in the traditional manner.

Answer 38

A neutral zone technique

Question 39

The count is performed by two people. Professional standard for counts as published by AORN requires a ________ and another health care worker such as the surgical technologist to perform the count.

Answer 39

circulator

Question 40

The surgical technologist must keep track of the amount of __________ used in the wound so that estimated blood loss can be calculated.

Answer 40

Irrigation fluid

Question 41

____________ are not brought to the Mayo stand until the superficial wound layers are closed and the final sponge counts have been completed.

Answer 41

Dressings

Question 42

A tissue implant derived from another person, animal, or the patient is called a _______

Answer 42

graft

Question 43

Using a ________ approach to all setups improves efficiency.

Answer 43

Methodical

Question 44

Surgeons are accustomed to receiving sutures from the scrub in a prescribed manner for ________.

Answer 44

safety and efficiency of movement

Question 45

A suture that causes little or no bioactivity is said to be _____.

Answer 45

Inert